Organization
PARKCREST ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EMANUEL (DOCTOR/OWNER)
(314) 997-1777
Entity
Organization
Contact information
Practice address
508 W PINE ST, FARMINGTON, MO 63640-1426
(314) 997-1777
(314) 997-6277
Mailing address
845 N NEW BALLAS CT STE 130, CREVE COEUR, MO 63141-7169
(314) 997-1777
(314) 997-6277
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2011001614
MO
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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